Maternal Child Nursing Care
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is discussing changes in 21st-century maternity
nursing with a group of newly hired nurses. Which statement best
reflects a major change in contemporary maternity nursing?
A. Care is increasingly centered on standardized routines rather than
individual preferences.
B. Maternity care increasingly emphasizes evidence-informed practice
and partnership with patients and families.
C. Most maternity decisions are made exclusively by the primary
healthcare provider.
D. Family involvement is generally discouraged during maternity care.
Correct Answer: B. Care increasingly emphasizes evidence-informed
practice and partnership with patients and families.
Rationale:
Contemporary maternity nursing emphasizes evidence-informed care,
patient participation, shared decision-making, and family-centered
practice. Nurses increasingly serve as educators, advocates,
coordinators, and partners in care rather than simply carrying out
routine tasks.
,Why the Other Options Are Incorrect:
A. Contemporary care is moving toward individualized care rather than
relying solely on standardized routines.
C. Modern maternity care commonly involves collaborative decision-
making among the patient, family, nurses, and healthcare providers.
D. Family participation is often incorporated when appropriate to the
patient's preferences and clinical situation.
Question 2
Question:
A nurse is planning care for a pregnant patient whose cultural practices
differ from the nurse's usual approach to pregnancy and childbirth.
Which nursing action is most appropriate?
A. Encourage the patient to follow the nurse's preferred practices.
B. Ask the patient to discontinue cultural practices that are unfamiliar to
the healthcare team.
C. Explore the patient's preferences and incorporate safe cultural
practices into the plan of care.
D. Provide the same care plan used for all pregnant patients without
modification.
Correct Answer: C. Explore the patient's preferences and incorporate
safe cultural practices into the plan of care.
Rationale:
Patient-centered maternity nursing recognizes individual values, beliefs,
cultural practices, and preferences. The nurse should assess what is
important to the patient and incorporate safe practices into
, individualized care while addressing practices that may create a clinical
risk.
Why the Other Options Are Incorrect:
A. The nurse's personal preferences should not determine the patient's
maternity care.
B. Cultural practices should be explored rather than automatically
rejected because they are unfamiliar.
D. Standard principles of safe care apply broadly, but individual
maternity care should still be individualized.
Question 3
Question:
Which nursing action best demonstrates the maternity nurse's role in
reducing health disparities?
A. Providing identical teaching to every patient regardless of
circumstances
B. Identifying barriers that may interfere with access to prenatal and
postpartum care
C. Limiting education to patients who regularly attend appointments
D. Referring all patients with financial concerns to the same community
agency
Correct Answer: B. Identifying barriers that may interfere with access
to prenatal and postpartum care
Rationale:
Reducing health disparities requires nurses to identify social, economic,
geographic, communication, and other barriers that can affect access to
7th Edition
• Author(s)Shannon Perry
,Question 1
Question:
A maternity nurse is discussing changes in 21st-century maternity
nursing with a group of newly hired nurses. Which statement best
reflects a major change in contemporary maternity nursing?
A. Care is increasingly centered on standardized routines rather than
individual preferences.
B. Maternity care increasingly emphasizes evidence-informed practice
and partnership with patients and families.
C. Most maternity decisions are made exclusively by the primary
healthcare provider.
D. Family involvement is generally discouraged during maternity care.
Correct Answer: B. Care increasingly emphasizes evidence-informed
practice and partnership with patients and families.
Rationale:
Contemporary maternity nursing emphasizes evidence-informed care,
patient participation, shared decision-making, and family-centered
practice. Nurses increasingly serve as educators, advocates,
coordinators, and partners in care rather than simply carrying out
routine tasks.
,Why the Other Options Are Incorrect:
A. Contemporary care is moving toward individualized care rather than
relying solely on standardized routines.
C. Modern maternity care commonly involves collaborative decision-
making among the patient, family, nurses, and healthcare providers.
D. Family participation is often incorporated when appropriate to the
patient's preferences and clinical situation.
Question 2
Question:
A nurse is planning care for a pregnant patient whose cultural practices
differ from the nurse's usual approach to pregnancy and childbirth.
Which nursing action is most appropriate?
A. Encourage the patient to follow the nurse's preferred practices.
B. Ask the patient to discontinue cultural practices that are unfamiliar to
the healthcare team.
C. Explore the patient's preferences and incorporate safe cultural
practices into the plan of care.
D. Provide the same care plan used for all pregnant patients without
modification.
Correct Answer: C. Explore the patient's preferences and incorporate
safe cultural practices into the plan of care.
Rationale:
Patient-centered maternity nursing recognizes individual values, beliefs,
cultural practices, and preferences. The nurse should assess what is
important to the patient and incorporate safe practices into
, individualized care while addressing practices that may create a clinical
risk.
Why the Other Options Are Incorrect:
A. The nurse's personal preferences should not determine the patient's
maternity care.
B. Cultural practices should be explored rather than automatically
rejected because they are unfamiliar.
D. Standard principles of safe care apply broadly, but individual
maternity care should still be individualized.
Question 3
Question:
Which nursing action best demonstrates the maternity nurse's role in
reducing health disparities?
A. Providing identical teaching to every patient regardless of
circumstances
B. Identifying barriers that may interfere with access to prenatal and
postpartum care
C. Limiting education to patients who regularly attend appointments
D. Referring all patients with financial concerns to the same community
agency
Correct Answer: B. Identifying barriers that may interfere with access
to prenatal and postpartum care
Rationale:
Reducing health disparities requires nurses to identify social, economic,
geographic, communication, and other barriers that can affect access to
